Provider Demographics
NPI:1659424646
Name:ELDER'SVIEW, LLC.
Entity Type:Organization
Organization Name:ELDER'SVIEW, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:ROCCO
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW, LMFT, BCD
Authorized Official - Phone:215-247-2819
Mailing Address - Street 1:500 WELLESLEY RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2931
Mailing Address - Country:US
Mailing Address - Phone:215-247-2819
Mailing Address - Fax:215-247-1043
Practice Address - Street 1:500 WELLESLEY RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2931
Practice Address - Country:US
Practice Address - Phone:215-247-2819
Practice Address - Fax:215-247-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-21
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW009278L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty